Randomized trial comparing bleeding after loop excision of transformation zone in either follicular or luteal phase

ABSTRACT

This randomized controlled study was carried out to compare the outcomes of perioperative bleeding between patients treated by loop electrosurgical excision procedure of transformation zone of cervix during either the follicular [35 women] or luteal phase [37 women] of the menstrual cycle. The two groups did not differ in terms of, grade of cervical intraepithelial neoplasia, depth of excision, parity, and duration of menses. Those women treated during the luteal phase of the menstrual cycle experienced more postoperative bleeding [p < 0. 05]. They also experienced significantly more postoperative bleeding as assessed by the fall in hematocrit level. Those women also experienced significantly higher levels of anxiety postoperatively, which resulted in more consultations with the medical staff It was concluded that doing the procedure during the follicular phase of menstrual cycle resulted in less bleeding and less anxiety of the patient